Maternal Mental Health

Back in March, I came across an article that I thought was very sensible indeed. Seeing as I am more than a bit worried about global warming (I’ve moved on from nuclear disaster, although I lost a lot of sleep over it in my early teens, worrying, as my school was nine miles away from home, that the bomb would go up when I was there) and also about equal rights, and generally interested in matters of education, it made a lot of sense. Educate girls through to the end of the secondary years and all sorts of wonderful things happen that have a direct impact on, for instance, world health and population growth, and thus the preservation of the planet.

Apparently, my auntie Pauline, a very old and somewhat mythical lady by the time I came along, I have a vague memory of white hair drawn back into a neat bun, and dark, dusty corridors with the sort of carpets that didn’t meet the walls, used to say that if you educate a girl, you educate the family; that, while the effects on the individual are profound, the ripples of your positive actions are powerful and far-reaching. And, when I think about it, an education does more than give young (and older) women the knowledge that will enable them to understand, and control, their fertility, but is the means to the confidence to ask important questions of their sexual partners too. No longer do women of my generation have to go through what my great-great grandmother did, and bear thirteen children because she was unable to refuse a Friday night after a visit to the pub.

The thing is, though, that I think that it is more than education that matters in the lives of mothers. I remember, almost as if it were yesterday, a conversation I had with my mum when I was expecting S, my firstborn. I was OK with being pregnant (although I did cry the day I could no longer fit into my jeans, because I knew that, from that moment, nothing would ever be the same again), but every time I thought about giving birth it was if I was staring into a black hole of terror.

“You’ll be alright Nancy,” she said, in that practical way of women who have been through the whole messy business and come out the other side, “it’s not THAT bad.” It was strangely reassuring. If she could do it, so could I.

That said, the experience was, for me, traumatising; and I know I am not alone. When S was tiny, I joined the local library (I’d given up paid work for a while, so I didn’t have any money) and one of the books I read was an account of early motherhood that took on the difficulties, face first. The sleeplessness, the constant responsibility, post-partum pain and the trials and tribulations of feeding the baby, no matter how you do it. It’s a treadmill, all on top of the physical shock that is giving birth. Even when it goes well (and I’ve done that bit too), and everything is fine, there is nothing about the process that is easy. There is a sense of being ripped apart – and then having to get on with nursing a baby (and possibly one or two toddlers) before the ragged edges have even begun to knit together.

Put traumatic birth, and by that I mean anything from mass intervention to emotional shock and something wrong with the baby, from jaundice to chromosomes, defects requiring surgery or brain damage, in the same event and you have a recipe for disaster in terms of maternal mental health and wellbeing. And, like an education, when a mother is well supported, so is the rest of the family.

There are real and concrete actions that maternity services could put into place in order to support new mothers, and thus the wider family. Greater support from midwives and health visitors, access to a counsellor – and not just one offer, but an open door, especially where health concerns over the baby mean that mama is a long way down the list of concerns. It shouldn’t get to crisis point before someone steps in. We need to stop pussyfooting round the edges with our educational solutions and go right back to the start.